DEPARTMENT OF INSURANCE

Affiliations

Name	Locke, Jazmin Marie	DOIID	762178	NAIC NPN	16128873

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	8/31/2011	8/31/2012
Inactive	Non Resident	Agent	Life	8/31/2011	8/31/2012
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/24/2011	8/31/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/24/2011	8/31/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/24/2011	8/31/2012
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	9/22/2011	12/22/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	9/22/2011	12/22/2011
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/21/2011	10/2/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/21/2011	10/2/2012
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	9/22/2011	9/10/2012
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	9/22/2011	9/10/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/21/2011	10/2/2012
Inactive	Humana Insurance Company	301104	Agent - Health	10/18/2011	10/2/2012
Inactive	Humana Insurance Company	301104	Agent - Life	10/18/2011	10/2/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/21/2011	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	10/21/2011	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/21/2011	10/2/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/21/2011	10/2/2012
Inactive	Union Security Insurance Company	301844	Agent - Health	9/27/2011	2/28/2012
Inactive	Union Security Insurance Company	301844	Agent - Life	9/27/2011	2/28/2012
Inactive	United Concordia Dental Plans of Kentucky Inc.	301923	Agent - Health	9/16/2011	9/16/2011
Inactive	United Concordia Life and Health Insurance Company	301220	Agent - Health	9/16/2011	8/31/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/19/2011	8/31/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	9/19/2011	8/31/2012
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/19/2011	8/31/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/19/2011	8/31/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	10/3/2011	2/6/2012
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	10/3/2011	2/6/2012